Friday August 1st 2014

Does Tramadol show up on drug tests?

Yes – sort of.

While Tramadol isn’t going to show up on the standard drug test that, say, a new employer would usually have you take, Tramadol will show up on a toxicology screening specifically designed for prescription drug detection.  More on drug testing for Tramadol here…but if we don’t answer your question, please leave it for us at the end.

Why order a drug test for tramadol?

There are a few different reasons why you might be tested for Tramadol. The first is medical.  Dangers of Tramadol including serious side effects, drug interactions, or overdose may require medical testing.  If you’re admitted to a hospital and they suspect an overdose or need to find out what medications you’re taking, they’ll run a screen. You might also need to be screened for legal purposes. For example, if you’ve been convicted of taking the pain medication to get high off Tramadol without medical supervision.  In other words, positive drug testing for Tramadol without a prescription puts you at risk of legal consequences.

Types of Tramadol drug tests

A blood test, Toxi-Lab A, can determine if there is Tramadol in your system or not. However, the test will not be able to show the level of the drug. The result will simply be a simple positive or negative. Tramadol can also be detected using special urine or hair tests, but there must be some reason or suspicion that Tramadol is in your system for these tests to be ordered.

Tramadol cutoff levels

In hair tests, Tramadol can be detected at low levels – those which would appear in normal use as prescribed by a doctor. In one study, a concentration as low as 0.176 ng/mg was enough to show up on the test. Anecdotal evidence suggests that urine tests are not as effective, since Tramadol leaves the system fairly quickly.

Positive drug testing for tramadol

If you have a prescription for Tramadol, it shouldn’t be a problem if it shows up on a drug test. If you test positive to Tramadol and you have a prescription for the drug, it should be easy enough to explain to employers, doctors, and anyone else who might request a drug test. However, in several states Tramadol is considered a controlled substance, so if you’re using it without a prescription, you may get into some legal trouble.

If you test positive and you’re using Tramadol illegally, there will likely be repercussions. The exact legal status of Tramadol depends on where you live, so if you’re concerned about it showing up on a drug test, find out what your local laws are.

Questions about Tramadol drug testing

Do you still have questions about Tramadol showing up on drug tests? Please leave us your questions about Tramadol drug testing here. We try to respond to all questions with a personal and prompt reply.

Reference Sources: Determination of tramadol in hair using solid phase extraction and GC-MS
NIH Clinical Center Test Guide
Missouri State Highway Patrol: Toxicology information

Leave a Reply

54 Responses to “Does Tramadol show up on drug tests?
Trey
2:37 pm February 24th, 2012

Will Tramadol show up on a 10 panel probation drug test, what will it show up as, and how many days does it take for it to leave your system in terms of taking a urine drug test?

2:15 pm March 1st, 2012

Hi Trey. Thanks for your question.

Like other opioids, Tramadol does not stay in the body long. Hair samples can detect drug use for weeks or months after dosing, but blood or urine screens are only reliable for a day or two.

In terms of a 10 panel probation test…do you know what the test name is? You can find out of Tramadol is covered by asking the screening center.

eric
11:58 pm March 7th, 2012

I recently tested positive for ultram and have never taken the drug. I am talking to a MRO in a few days. I only take tylenol and advil. Is there any reason for this?

11:23 am March 8th, 2012

Hi Eric. The sensitivity and specificity of drug screens vary, and all can yield false-positive or false-negative results. Urine based drug tests are especially subject to false-positive and false-negative results. Not to mention clerical errors.

During your talk with the MRO, you can request a tramadol-specific test in order to prove that the drug is not in your system, and not a general screen. Or re-take the initial test.

Donnie
2:19 am September 12th, 2012

If Tramadol does show up in a D. O. T drug screen, is it legal?

8:07 pm September 12th, 2012

Hi Donnie. If you are taking tramadol and can present a prescription, you should have no problems. Legally, if you are taking tramadol without a prescription it depends on which state you are in. Some states have classified tramadol as a narcotic drug, while others have not.

Donnie
2:26 am September 13th, 2012

Thanks for the comeback. One more question;

,”However, in several states Tramadol is considered a controlled substance,”

Where is Pennsylvania on this?

1:32 pm September 16th, 2012

Hi Donnie. I’m not sure and couldn’t find a direct answer online. However, you can contact the Pennsylvania Office of the Attorney General at for more precise information about the legal status of tramadol in PA.

http://www.attorneygeneral.gov/theoffice.aspx?id=71

kevin leonard
4:04 am October 5th, 2012

i have a dot drug test monday if i stop takeing tramadol friday will it show up

1:09 pm October 5th, 2012

Hi Kevin. Tramadol isn’t usually detected in a DOT standard 5 panel test. The addition of tramadol, fentanyl, nalbuphine, butorphanol, pentazocine, and buprenorphine should be considered a the new version of this standardized test, but are not currently detected in the “opiates” part of a DOT 5 panel drug screen because as the body metabolizes and excretes metabolites of tramadol and other synthetics, the drug test is not specific enough yet to detect these compounds. Instead, an “extended opiates” test specific to tramadol is required.

Donnie
5:48 pm October 5th, 2012

Thanks for the comeback. I do have a perscrition for Tramadol. I’m under a doctors care for chronic pain. He put me on something called Cymbalta but I couldn’t stand it. Five days of not sleeping, frazzled nerves and inability to concentrate were enough. It’s too bad because it did the trick on the pain but messed up my head. Is Cymbalta also a simulated narcotic?

Donnie
5:49 pm October 5th, 2012

PS, I’m clean and sober for over 26 years.

1:05 pm October 17th, 2012

Hi Donnie. No, Cymbalta (duloxetine hydrochloride) is NOT a quasi-narcotic like tramadol. Instead, Cymbalta is a selective serotonin and norepinephrine reuptake inhibitor (SSNRI). Its action as on Diabetic Peripheral Neuropathic Pain has been documented. You can learn more about Cymbalta here: http://dailymed.nlm.nih.gov/dailymed/archives/fdaDrugInfo.cfm?archiveid=1526

Donnie
9:48 pm October 17th, 2012

AB,

Thanks for the comeback. I’m now on something called Effexor.
I was to take it morning and night but it kept me awake so now I”m just taking it in the morning. So far it’s doing nothing for the pain and makes me feel a little edgy. It’s almost the way I remember a mild hangover. It’s been over 26 years:-).
Is there any danger of this affecting my ability to drive an 18-wheeler?

Thanks,
Donnie

9:29 am October 18th, 2012

Hello Donnie. Glad to help!

Effexor contains venlafaxine hydrochloride, a structurally novel antidepressant. Frequently reported adverse side effects which affected the nervous system include: amnesia, confusion, depersonalization, hypesthesia, thinking abnormal, trismus, and/or vertigo. Check out all of the warnings and possible side effects for Effexor here: http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?id=16405#nlm34084-4

suzanne le may
2:25 pm November 8th, 2012

my medicaid doctor upped my tramadol in june 2012 from 140 to 280.a month that was 8 pills a day for a series of ailments such as a remaining herniated disc from 2 cervical surgeries, carpal tunnel in both hands, and a quadruple by pass. i was also prescribed citalopram,and timolol along with latanoprost for glaucoma. i had to stop the citalopram because i was afraid of a stroke, principly because every time i’m in a lot of pain my blood pressure skyrockets over 200. i only took tramadol for those 2 months. i saw or felt absolutely no good reason to continue. my pain was constant and no benefit resulted. why allow me to suffer like this as i age.

1:18 pm November 13th, 2012

Hi Suzanne. Thanks for your message. Have you looked into other alternatives for pain medication? Did your doctor provide you with any other options?

Lee
4:08 pm December 29th, 2012

I haven’t seen any mention of swab testing.How many days will it take to pass a swab test if you’ve taken Tramadol.Are swap test more accurate than urine testing.

9:29 am December 31st, 2012

Hello Lee. The main application of oral swap drug test samples has been for testing for the more common drugs of abuse such as amphetamines, cocaine and metabolites, opioids such as morphine, methadone and heroin, and for cannabis. Because tramadol is in a class of synthetic opioids of its own, a special tramadol oral swab test is required…and tramadol is probably unlikely to be tested orally.

Oral fluid should not be seen as a specimen that replaces the use of other specimens. Urine should are seen as the specimen of choice. This is because while highly accurate, oral swabs must be administered quickly after drug administration. So, the detection window for drugs test orally is usually within a day, or so of use.

Liz
10:06 pm January 30th, 2013

at what level are you considered inebriated/intoxicated on tramadol? what level would be “over the legal limit”?

9:36 am February 1st, 2013

Hi Liz. Assuming that you are taking tramadol with a doctor’s prescription … each state has its own laws governing legal limits for driving while using opioid narcotics like tramadol. Check with your state’s attorney general office for a precise understanding of the law.

yousef
11:58 pm March 1st, 2013

I am taking tramadol from long time and I have a drug test for new employee next Friday does it will show and how long I have to stop before the test

Amanda
7:33 pm March 5th, 2013

i took 2 50 mg tramadol this morning and have to do a urine test for my dr to get my medications renewed and he tests for tramadol. Will this show up on the lab results or will it be out of my urine by than?

Steve
4:12 am May 16th, 2013

Please explain why my drug screens keep showing I am taking a benzodiazepine, when Tramadol is the ONLY med I take, although I take it in large doses.

Samatha
5:11 pm May 16th, 2013

If I was specifically tested for neurontion and ultrams on a urine test being sent to a lab will they show up an what will they show up as?

Dedra
7:59 pm July 23rd, 2013

I’m on pain management for my herniated discs and I take hydrocodone and nuerotin but my hydrocodone seems to not help anymore so I took some tramadol ( an old bottle i had laying around from the beginning of my pain management appointments) I was just drug tested by them today, my question is, since I had a previous prescription for the tramadol, will they find it in my system and will i get kicked out of their supervision? I’m really worried because I’m in constant pain if I’m not on any medication and I’m on Medicaid so it’ll be hard to find another pain management doctor in my area :(

12:02 pm July 24th, 2013

Hello Dedra. Tramadol is a class of special opioid unto itself and it usually not picked up in extended opioid drug tests. I would be surprised if it did appear.

Renae
12:35 am October 26th, 2013

I am in a recovery program, and get random drug testing for opiates. I do have a prescription for tramadol. Will it show up as opiate in my urine?

Dinky
3:31 pm October 30th, 2013

I took 2 tramadol on Monday evening for headache .. I was told it was safe to take …. I have a drug test fri afternoon… Now I’m being told that I’m going to fail…. I hate drugs and scares me to think I would go to jail for 2 tramadol.. Yes I know I should of researched it but I didntt….. Will this show up on my test……

Dianna
7:46 am November 16th, 2013

I took tramadol for the first time tonight and I have a drug test at my dr in 7 days will the tramadol still be in my system and show up in my drug test

megan
8:41 pm January 2nd, 2014

Is it tested for an an 8 panel drug screen?

8:47 pm January 2nd, 2014

Hi Megan. No, tramadol is usually not included in an 8 panel drug screen.

hesther
9:10 am January 3rd, 2014

If they do a drug test at a pain clinic in Tennessee will tremadol show up on it even if u are taking lortabs and morphine

Wilkes
3:26 pm January 24th, 2014

What are the names of Tramadol-specific drug tests? I am in a recovery program and were prescribed them for dental work but apparently cannot have them. Then was notified that I was being tested specifically tested for Tramadol. How much are the tests and how reliable are they? i have been clean off of opiates for almost 5 months and am doing really well and don’t want this to result in an expulsion from the program.

bethany
11:09 pm February 12th, 2014

Will tramadol pop a positive on a 5 dot drug test? Need an answer from someone who knows.

ashlee
9:03 pm April 19th, 2014

I am on probation and take 10panels. will tramadol show up in my ua’s??

David gharzo
7:30 pm May 20th, 2014

Does Tramadol shows up in urine test especially using the discover 14 line drug test including:

AMP | Amphetamines 1000 ng/ml
BAR | Barbiturates 300 ng/ml
BZO | Benzodiazepines 300 ng/ml
BUP | Buprenorphine 10 ng/ml
COC | Cocaine 150 or 300 ng/ml
MDMA | Ecstasy 500 ng/ml
THC | Marijuana 50ng/ml
MTD | Methadone 300 ng/ml
mAMP | Methamphetamine 1000 ng/ml
OPI | Opiates 2000 ng/ml
OXY | Oxycodone 100 ng/ml
TCA | Tricyclic Antidepressants 1000 ng/ml
PCP | Phencyclidine 25 ng/ml
PPX | Propoxyphene 300ng/ml

someonesomewere
3:33 pm May 21st, 2014

I was only taking tramodal and it showed up as methodone why???

David gharzo
7:38 pm May 21st, 2014

Thank you for your interesting information but i just need to know if specifically ”Discover 14 line drug test include a test for tramadol ultram?

kerry
8:27 pm May 22nd, 2014

I am a compounding pharmacist that compounds Tramadol in a lab. I don’t wear a mask and believe I have occupational exposure because a recent hair test was positive (hair taken from my leg), but my urine test was negative. I have not ever in my life taken Tramadol. How could this be?

Phillip
5:42 pm May 24th, 2014

Do they test for tramadol with a disa hair test

marlene
10:16 pm May 30th, 2014

I live in a sober living and was prescribed tramadol buy my doctor. Will it show up on a 8 or 10 panel urine test?

help ne
9:57 pm June 7th, 2014

Will tramadol show up on a 12 pannel drug screen

DW
9:50 pm June 10th, 2014

Researching the causes of a false positive for Tramadol from an “instant” drug screening test. I take Venlafaxine 3 x 75mg daily. Am I right in thinking this could be the cause? Thanks

Athena
3:41 am June 12th, 2014

I was curious if tramadol showed on just a regular 10 panel urine drug test? Not testing spec for tramadol…..just a normal 10 panel test. Please respond asap. thank you

Ronald
5:03 pm June 14th, 2014

It is Saturday morning and I take tramadol for chronic pain. I am scheduled for a 10 panel, non-dot urine test on Monday afternoon for pre-employee screening. Will the Tramadol show up ? Thanks for your response…

kelsey
1:40 am June 16th, 2014

DW, if that is the only medication you take rhen yes it could. Some over the counter medications can make you have a false positive for a number of things. I take anti depressants and bendryl, when i went for my probation drug screen i had a false positive for methadome because of the benadryl. If you google what medications can make you have a false positive, one of the websites will give you a list

tim
1:54 pm June 30th, 2014

I have a drugs test at drug advisers soon testing 4 opiates etc, I have been taking tramadol which I no is opiate based so will the test cone back as positive 4 opiates? The test is a swab test not urine!!! Plz get back to me I would appreciate it thanks

Max
4:22 pm July 9th, 2014

I had 250 mg Tramadol 2 days ago and today I bought a home test kit for Opiate and the result was negative. Should I still be concerned that Tramadol being showed upon drug test?

Ronald
2:18 am July 11th, 2014

I recently had to do a pre-employment drug test. I was taking Tramadol at the time, but it didn’t show up on test. I got the job and loving it! It was a good lesson for me and I never intend on going through that stress again! It’s simply not worth it. If you have pain, see a doctor. DON’T purchase ANY medication form an on-line “pharmacy”…..

Kim
1:23 am July 12th, 2014

I use to be etrely addicted to a lot of prescription medications including tramadol. I have been clean of everything almost over 2 years. I recently had something happen and now I must PROVE myself. I need guidance on what type of test I can take that will go back the furthest (which seems to look like hair testing) for 90 days – to test for at the very least tramadol and an 8,9 or even 10 panel with it. Please please direct me were to go. I never thought I’d be crying my eyes out trying to find a way to TEST me for drugs. It’s just my sobriety is very important to me!! Thank you!!

Karen
3:49 am July 21st, 2014

I have prescriptions for my tramadol and meloxican and my generic brand of flexeril and was given a random urine drug test on Monday and it was sent out this past Thursday. I’m not worried about whether I passed or not but I’m wondering if any of my prescription medication will show up on my test… Any input will be helpful.

Danielle
4:18 am July 29th, 2014

Will tramadol show up on a 9 panel urine test?

Gee
10:29 am July 29th, 2014

I had a routine drug urine test as I see my doctor for severe anxiety. I take tramadol and Xanax. I am very confused at what my insurance Co listed. Can you explain each test.. 1. Opiate(s) drug and metabolites each procedure 2. Methadone. 3. Drug screening quantitative benzodiazepune. Description says Assay of Opiates. Assay of Methadone and Therapeutic assay. I never abused drugs. Where is the section where tramadol is looked for. I am totally confused.

Leave a Reply